Provider Demographics
NPI:1538321385
Name:TING, RICHARD H (DDS MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:H
Last Name:TING
Suffix:
Gender:M
Credentials:DDS MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2020 SANTA MONICA BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2139
Mailing Address - Country:US
Mailing Address - Phone:310-315-1034
Mailing Address - Fax:310-315-0077
Practice Address - Street 1:2020 SANTA MONICA BLVD STE 530
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2139
Practice Address - Country:US
Practice Address - Phone:310-315-1034
Practice Address - Fax:310-315-0077
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA511441223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery